Psychological distress and health behaviours among Cambodian Americans at risk for developing diabetes.
Julie WagnerAngela Bermúdez-MillánS Megan BertholdThomas BuckleyOrfeu M BuxtonRichard FeinnSengly KongTheanvy KuochLindsay MasterMary ScullyKagnica SengPublished in: Stress and health : journal of the International Society for the Investigation of Stress (2022)
This paper reports secondary data analysis of associations between psychological distress and health behaviours among Cambodian Americans. Data are from baseline assessments from a diabetes prevention trial. All participants met stucriteria for depression and were free of diabetes. Participants (n = 191) completed surveys, a food frequency assessment, and wore sleep and physical activity actigraphy devices for 7 days. A factor analysis of symptoms of post-traumatic stress, baksbat (a Cambodian culture-bound syndrome), depression, and anxiety yielded a single factor named 'psychological distress'. Multivariate models controlling for psychotropic medications were run for the following outcomes: sleep actigraphy, self-reported sleep, physical activity actigraphy, self-reported physical activity, nutrition, and substance use. For actigraphy, higher distress was associated with lower moderate/vigorous physical activity and higher mean variability of 24 h total sleep time. Higher distress was also associated with worse self-reported sleep quality as indicated by standard, and culturally-specific, sleep indicators. Higher distress was also associated with lower use of food labels, lower carbohydrate consumption, and higher alcohol consumption as a coping mechanism. Interventions to mitigate diabetes risk in high-distress populations may benefit from strategies to decrease psychological distress. The sequelae of complex trauma may transcend discrete psychiatric diagnoses.
Keyphrases
- sleep quality
- physical activity
- type diabetes
- depressive symptoms
- cardiovascular disease
- glycemic control
- healthcare
- body mass index
- alcohol consumption
- mental health
- public health
- electronic health record
- clinical trial
- human health
- emergency department
- social support
- cross sectional
- study protocol
- health promotion
- data analysis
- tyrosine kinase
- stress induced
- genetic diversity
- artificial intelligence